Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $758.58 / $1,479.11	Facility		$245.47	$758.58	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $269.15	Professional		$213.80	$245.47	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $1,122.02	Facility		$141.25	$208.93	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $1,318.26	Professional		$338.84	$398.11	$1,318.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $234.42	Professional		$165.96	$165.96	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $245.47	Professional		$165.96	$223.87	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $245.47 / $275.42	Facility		$114.82	$245.47	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $416.87	Professional		$95.50	$114.82	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $165.96	Professional		$74.13	$165.96	$165.96